| NPI | 1326745589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE CORLEY JONES Chief Executive Officer 904-408-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-08-14 |